Hello M, Néel A, Graveleau J, Masseau A, Agard C, Caillon J, Hamidou M
Service de médecine interne, CHU Hôtel-Dieu, place Alexis-Ricordeau, 44093 Nantes, France.
Rev Med Interne. 2013 Jun;34(6):358-62. doi: 10.1016/j.revmed.2012.07.017. Epub 2012 Sep 13.
Idiopathic granulomatous mastitis (IGM) is a rare localized granulomatosis of unknown aetiology that usually affects women of childbearing age. It often mimics breast carcinoma or abscess. Histopathologic evaluation and elimination of the others aetiologies of granuloma play a crucial role in the diagnosis. Its etiopathogeny remains poorly understood, but Corynebacteria might be involved. The disease course is usually protracted, with a significant impact on quality of life. The management of IGM remains controversial, but corticosteroids are usually the first-line treatment.
特发性肉芽肿性乳腺炎（IGM）是一种病因不明的罕见局限性肉芽肿病，通常影响育龄女性。它常酷似乳腺癌或脓肿。组织病理学评估以及排除肉芽肿的其他病因在诊断中起关键作用。其发病机制仍知之甚少，但棒状杆菌可能与之有关。该病病程通常迁延，对生活质量有重大影响。IGM的治疗仍存在争议，但皮质类固醇通常是一线治疗方法。
